Healthcare Provider Details

I. General information

NPI: 1417894841
Provider Name (Legal Business Name): GRIFFIN FAMILY ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 KEMPER MEADOW DR STE 4
CINCINNATI OH
45240-1650
US

IV. Provider business mailing address

1375 KEMPER MEADOW DR STE 4
CINCINNATI OH
45240-1650
US

V. Phone/Fax

Practice location:
  • Phone: 513-402-2629
  • Fax:
Mailing address:
  • Phone: 513-402-2629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PHYLICIA JULIANNA GRIFFIN
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 513-402-2629